Antepartum/Intrapartum perIiod OB Scc 4th Quarter Question And Verified Answers | 100% correct | Grade

AntepArtum/IntrApArtum perIod oB Scc 4th QuArter QueStIonS And VerIfIed AnSwerS | 100% correct | GrAde A ⫸ A client who is 32 weeks pregnant presents to the emergency department with bright red bleeding and no abdominal pain. A nurse should: - ✅assess the fetal heart rate.

⫸ During her fourth clinic visit, a client who's 5 months pregnant tells the nurse she was exposed to rubella during the past week and asks whether she can be immunized now.How should the nurse respond? - ✅"No because the live viral vaccine is contraindicated during pregnancy."

⫸ After teaching a primigravid client at 24 weeks' gestation, who has received permission from the primary care provider to make a 6-hour automobile trip to visit her parents, about precautions to take during the trip, which client statement indicates the need for further teaching? - ✅"I will sleep for 1 hour at the halfway point of the trip."

⫸ A client at 36 weeks' gestation, begins to exhibit signs of labor after an eclamptic

seizure. The nurse should assess the client for: - ✅abruptio placentae

⫸ client who is 34 weeks pregnant is experiencing bleeding caused by placenta previa.The fetal heart sounds are normal and the client is not in labor. Which nursing intervention should the nurse perform? - ✅Monitor the amount of vaginal blood loss.

⫸ A client in the first trimester of pregnancy comes to the facility for a routine prenatal visit. She tells the nurse she doesn't know whether she's ready to have a baby, even though this was a planned pregnancy. Which response should the nurse offer? - ✅"You're feeling ambivalent, which is normal during the first trimester."

⫸ A nurse assesses a client for signs and symptoms of ectopic pregnancy. Which assessment finding should the nurse expect? - ✅Abdominal pain

⫸ A multigravid client at 32 weeks' gestation has experienced hemolytic disease of the newborn in a previous pregnancy. The nurse should prepare the client for frequent antibody titer evaluations obtained from which source? - ✅maternal blood

⫸ During a childbirth preparation class, a primigravid client at 36 weeks' gestation tells the nurse, "My lower back has really been bothering me lately." Which exercise suggested would be most helpful? - ✅pelvic rocking

• / 2

⫸ After instructing a primigravid client about the functions of the placenta, the nurse determines that the client needs additional teaching when she says that which hormone is produced by the placenta? - ✅testosterone

⫸ A client who's 7 months pregnant reports severe leg cramps at night. Which nursing action would be most effective in helping the client cope with these cramps? - ✅Teaching her to dorsiflex her foot during the cramp

⫸ For the client who is receiving intravenous magnesium sulfate for severe preeclampsia, which assessment findings would alert the nurse to suspect hypermagnesemia? - ✅decreased deep tendon reflexes

⫸ While assessing a multigravid client at 10 weeks' gestation, the nurse notes a purplish color to the vagina and cervix. The nurse documents this as what finding? - ✅Chadwick's sign

⫸ A 27-year-old primigravid client with insulin-dependent diabetes at 34 weeks' gestation undergoes a nonstress test, the results of which are documented as reactive.What should the nurse tell the client that the test results indicate? - ✅There is evidence of fetal well-being.

⫸ A 16-year-old primigravida at 36 weeks' gestation who has had no prenatal care experienced a seizure at work and is being transported to the hospital by ambulance.What should the nurse do upon the client's arrival? - ✅Admit the client to a quiet, darkened room.

⫸ A nurse is developing a teaching plan for a primigravid client who's 2 months pregnant. The nurse should tell the client that she can expect to feel the fetus move at which time? - ✅Between 18 and 20 weeks' gestation

⫸ A full-term client is admitted for an induction of labor. The health care provider (HCP) has assigned a Bishop score of 10. Which drug would the nurse anticipate administering to this client - ✅oxytocin 30 units in 500 ml D5W

⫸ The nurse is working on a birthing unit that has several unlicensed assistive personnel (UAP). The nurse should instruct the UAP assigned to several clients in labor to notify the nurse if the UAP notes any of the clients have which finding? - ✅evidence of spontaneous rupture of the membranes

⫸ Which client is the best candidate for a vaginal birth after a caesarean (VBAC)?

• client who dilated 6 cm in her last delivery and failed to progress beyond this point

despite 5 more hours of labor

• / 2